Local Dental Care - Root Canals

Periodontal Disease Treatment Slows Periodontitis

One of the goals of periodontal disease treatment is to arrest and control the progression of the bacteria that cause gingivitis and periodontal disease. As the bacteria infect the gum tissues, they release toxic substances that trigger the breakdown of gum and bone. The gum then separates from the teeth, forming a gap that is called a periodontal pocket. These spaces are inaccessible to daily oral hygiene techniques. Bacteria settle in these pockets and continue to accumulate and reproduce, creating further gum and bone destruction.

Periodontal disease treatment such as scaling and root planing involve the removal of the irritants and bacterial deposits (plaque and tartar) that have accumulated above and below the gum line in the periodontal pockets. The root surfaces of the teeth are planed (smoothed) to promote healing and to help prevent future bacterial reattachment. At the same time, gingival (gum) curettage can be done to remove the infected soft tissues that line the periodontal pockets.

Most of the time, scaling and root planing is done in two to four visits. For patient comfort, the gums can be numbed by the periodontist using a local anesthetic. One-quarter of the mouth is usually treated at the time and treatment of each quarter can take 45 minutes to an hour (three to four hours for the entire mouth). Most patients report minimal discomfort during these periodontics treatments.

During scaling and root planing appointments, the dental care provider will review oral hygiene techniques that are aimed at improving the person's ability to control plaque and to help avoid bacteria from re-infecting the pockets. Patients also will receive advice on the modification of certain risk factors associated with periodontal disease.

In some circumstances, the dental care provider may recommend the use of adjunctive products for periodontal treatment. To be effective, antimicrobial products such as Chlorhexedine, PerioChip, and Atridox should be used in combination with scaling and root planing. Periostat is also a product that can be used as an adjunct to scaling and root planing in order to impede further tissue breakdown and promote healing.

Several weeks after completion of scaling and root planing, a periodontal re-evaluation should be completed. The purpose of this exam is to assess the response to treatment and determine if there is a need for further treatment.

The best way to stop the progression of periodontal disease is to mechanically remove the bacterial plaque and tartar that have accumulated in the periodontal pocket. Daily oral hygiene and supportive periodontal treatment (see article "Supportive Periodontal Treatment") is key to the success of scaling and root planing. Without treatment, the tartar and plaque buildup underneath the gums will continue to cause periodontal tissue breakdown, progression of periodontal disease, and eventually tooth loss and/or systemic (general) complications.

By Laura Minsk, DMD

Bleeding Gums

If you have bleeding gums, you may have periodontal disease. We're learning more about this common infection all the time. Below are some of the latest findings. It should help you understand why it's so important that you take action with your periodontist to eliminate periodontal disease, the sooner the better.

Some patients think swollen gums aren't as critical as tooth decay, but that's just not so. Periodontal disease begins as a minor infection and, if it doesn't show signs of stabilizing, is bound to get worse. Untreated, it can eventually result in tooth loss.

Type I periodontitis (gingivitis) consists of tender gums and a little bacteria-filled pocket between your tooth and gum. The disease is very treatable at this point. But if the infected pockets are allowed to enlarge, the inflammation extends to the bone beneath, which begins to erode.

There's another reason to take periodontal disease seriously. The Journal of the American Dental Association recently reported on a study of nonsmokers. Researchers found that periodontal disease was a stronger risk factor for heart disease than such typical symptoms as high cholesterol or high blood pressure. Also, periodontitis in pregnant mothers has been linked to premature and low birth-weight babies.

Your periodontist's concerns for your health don't stop with your teeth. That's why it's important, if you're suffering from gingivitis, that you schedule an appointment and get it treated. When you do, make sure you let your dentist know if you are also being treated for heart disease by your medical doctor.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.